Incident-to Billing Revisited: Chasing the 15% Written by: Shannon O. DeConda | NAMAS, a division of DoctorsManagement, LLC Incident-to billing, as defined by the Centers for Medicare & Medicaid Services (CMS), has long been both a point of interest and a source of confusion among healthcare providers. For many years, the prevailing advice among compliance…
A Stark Law Overview for Non-Legal Minds Written by: David M. Glaser, Shareholder | Fredrikson Health Law Stark is perhaps the most difficult of health law regulations, which may explain why there are so many misunderstandings about it. The first source of confusion is that the law is commonly called an “anti-self referral law.” But…
Understanding the Core Purpose of Certificate Of Need Regulations Written by: Trevor McElhaney, JD | Director of Consulting at DoctorsManagement, LLC What is a Certificate of Need? In the complex landscape of healthcare regulation, the Certificate of Need (CON) plays a significant role in determining the expansion and distribution of healthcare services. A Certificate of…
Nursing Visits in the Office: Navigating Risks and Staying Compliant Written by: Sonda Kunzi Let’s talk about nursing visits. If you have worked in a medical office, you’ve likely heard this term used to describe brief patient encounters with a medical assistant, nurse, or other clinical staff. Things like blood pressure checks, vaccine administration, suture…
Split-Shared Billing Challenges in Critical Care Service Written by: Shannon O. DeConda, CPC, CPMA, CEMC, CEMA, CPA-EDU, CRTT Effective collaboration between healthcare providers is vital in the fast-paced environment of Intensive Care Units (ICUs). Split shared services—where a physician (MD) and an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) jointly manage patient care—are…